An Uncommon Cause of Leg Swelling After Exercise: A Case Report on An Unprovoked Deep Vein Thrombosis in Young Healthy Man

Rathika Rajah, and Alvin Oliver Payus, and Norlaila Mustafa, (2020) An Uncommon Cause of Leg Swelling After Exercise: A Case Report on An Unprovoked Deep Vein Thrombosis in Young Healthy Man. Malaysian Journal of Medicine and Health Sciences, 16 (1). pp. 351-353. ISSN 2636-9346

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Abstract

Antiphospholipid syndrome is a hypercoagulable autoimmune condition that predominantly affect the female and commonly manifest as arterio-venous thrombosis and recurrent miscarriage. Here, we present a unique case of a healthy young man who developed sudden onset of right leg swelling after exercise which was then found to be due to deep vein thrombosis via Doppler ultrasound. His blood investigations showed thrombocytopenia and prolonged coagulation profile. Therefore, antiphospholipid syndrome was suspected and later confirmed by positive autoimmune antibodies. He was treated with long term moderate intensity oral warfarin. The objective of this case report is to share the uncommon occurrence of an unprovoked deep vein thrombosis secondary to antiphospholipid syndrome in a healthy young man so that the possibility of deep vein thrombosis should be suspected in selected cases of non-resolving leg swelling after exercise as it can lead to fatal pulmonary embolism.

Item Type: Article
Uncontrolled Keywords: Antiphospholipid syndrome; Hypercoagulable; Male; Deep vein thrombosis; Thrombocytopenia
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine
Divisions: FACULTY > Faculty of Medicine and Health Sciences
Depositing User: MDM SITI AZIZAH IDRIS
Date Deposited: 25 Feb 2020 02:02
Last Modified: 17 Apr 2020 16:45
URI: http://eprints.ums.edu.my/id/eprint/25007

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